Diagnosis

The doctor will ask about your child’s symptoms and medical history. A physical exam will be done. An assessment of puberty milestones and growth will be done. Your child may be referred to an endocrinologist, a doctor who specializes in hormonal, glandular, and metabolic disorders.

Imaging tests are used to evaluate bodily structures. These may include:

Your child's bodily fluids may be tested. This can be done with blood tests.

Treatment

Talk with your child's doctor about the best treatment plan. Treatment options include:

Medications

Different medications can be used to treat precocious puberty depending on the type. These medications stop or slow sexual development. They also halt the rapid bone growth and encourage normal growth.

Psychological Support

Developing before their peers may cause social challenges in some children. Psychological support may be helpful. Talk to your child's doctor about what options are available.

Treatment of Underlying Conditions

If an underlying condition is the cause of precocious puberty, treatment will involve treating the specific medical problem.

Surgery

Surgery may be needed if the early puberty is caused by a tumor or other lesions. The procedure will depend on the location and size of the tumor.

Ongoing Monitoring

The doctor will continue to check your child’s height, weight, and sexual development. This will help to note any changes or show if the treatment has been effective.

Prevention

There are no current guidelines to prevent precocious puberty.

RESOURCES

National Institute of Child Health and Human Development
http://www.nichd.nih.gov

Nemours Kid's Health
http://www.kidshealth.org

CANADIAN RESOURCES

About Kid's Health—The Hospital for Sick Children
http://www.aboutkidshealth.ca

Puberty and precocious puberty. National Institute of Child Health and Human Development website. Available at:
http://www.nichd.nih.gov/health/topics/puberty/Pages/default.aspx.
Updated April 3, 2013. Accessed July 16, 2013.

This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.

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